Abstract: Objective To understand the actual situation of referral between HIV and TB institutions and explore the factors affecting referral.  Methods HIV patients were screened by TB questionnaire by doctors of HIV institutions during post-HIV test counseling and follow-up. Patients with positive questionnaire were referred to TB institution for further TB examination. Patient’s arrival time after referral were recorded.  Results 130 cases of HIV patients with TB suspected symptoms were referral from HIV institution to TB institution. Referral arrival rate was64.6%(84/130),TB detection rate was 7.1%（6/84）. 36（42.9%） cases reached TB service on the same referral day, 32(38.1%) reached within 1 to 14 days, 8(9.5%) reached within 15 to 30 days and 8(9.5%) after 30 days.  Conclusion s It is important to establish the collaboration mechanism between HIV and TB institution in order to improve the referral rate and shorten the arrival time. Factors affecting referral arrival rate should be further researched.

Key words: AIDS, tuberculosis,pulmonary, patient tranfer